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Oregon Department of Transportation <br /> ~ PAGE N0. 1 <br /> BILLING DATE <br /> 03/05/02 14:40 <br /> REPORT N0. <br /> FMBL824-1 <br /> TO ENSURE PROPER CREDIT, RETURN A COPY DF THIS FORM WITH YOUR REMITTANCE T0: <br /> OREGON DEPARTMENT OF TRANSPORTATION <br /> 355 CAPITOL STREET NE, RM434 <br /> SALEM OR 97301-3872 <br /> OST-CITY OF EUGENE PUBLIC WORKS <br /> LGIP ACCOUNT #4909-PEGGY HAMLIN FOR INFORMATION CONCERNING <br /> 858 PEARL 4TH FLOOR ! THIS INVOICE CALL: <br /> j ~ EUGENE ~ OR 97440 ~ (503)986-3879 <br /> <br /> 1 I <br /> AGENCY T/C CURR. DOC. DOG. DATE ~ VENDOR N0./SUFFIX UNIT <br /> 73 350 0000132900-84 9901 <br /> ' ACCOUNT REVENUE AGENCY CUSTOMER CUSTOMER REV CUSTOMER <br /> ' SOURCE SOURCE AMOUNT DUE AMOUNT REMITTED REFERENCE <br /> RVF13470-00Q O1 8440T0 22 226.72 X7608 - CON <br /> <br /> i <br /> ~~s ~ ~ ~ <br /> t ~ ~ <br /> E~~ <br /> ~r~~snm `t~ar~ ai~~~ ~~g <br /> oa Es. a <br /> AMOUNT DUES;-L--`'~"°' <br /> 734-115GA(11-88) <br /> <br />